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Updated: Aug 16, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Unsuspected foreign bodies of the aerodigestive tract
Insights
Children often swallow foreign objects, leading to aerodigestive tract issues. Prompt removal prevents complications, but delayed diagnosis of these foreign bodies can cause severe health problems.
Area of Science:
- Pediatrics
- Otolaryngology
- Emergency Medicine
Background:
- Children's tendency to place objects in their mouths can result in foreign body ingestion.
- Foreign bodies in the aerodigestive tract pose significant risks if not promptly addressed.
Observation:
- A review of 15 cases of retained foreign bodies in children between 1971 and 1977 was conducted.
- These cases highlight the challenges associated with prolonged foreign body presence in the aerodigestive tract.
Findings:
- Undetected or neglected foreign bodies can lead to serious complications such as pneumonia, failure to thrive, abscesses, fistulas, and vascular erosion.
- Early diagnosis and endoscopic removal are crucial for managing aerodigestive foreign bodies.
Implications:
- Emphasizes the importance of timely diagnosis and intervention for pediatric foreign bodies.
- Highlights the potential for severe morbidity with delayed management of aerodigestive foreign bodies.
- Underscores the need for vigilance among healthcare providers regarding foreign body ingestion in children.
Abstract:
The well-known tendency for children to place loose objects in their months not infrequently leads to the entrapment of foreign bodies in the aerodigestive tract. With prompt and adequate removal few complications occur. However, when the foreign body goes undetected or is neglected the patient may develop dysphagia, pneumonia, failure to thrive, lung or mediastinal abscesses, bronchopulmonary or bronchoesophageal fistulas, or erosion of major vessels. Fifteen cases of retained foreign bodies were identified in a chart review between 1971 and 1977 at the Children's Hospital of Philadelphia, calling attention to the problems of aerodigestive foreign bodies of prolonged duration. Early and late complications are discussed and early diagnosis and endoscopic removal emphasized.
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